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Carly Thacker

NPI 1831005321 · on the registry since 2026 · sole proprietor

Practice

Address
2010 Becker Dr
Lawrence, KS 66047
Phone
(816) 800-1454
Clinicians at this address
78

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas